Brazilian journal of physical therapy · 2026
Measurement properties of the HipScreen App for radiological hip migration assessment in Brazilian children with cerebral palsy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Borges Giovana R, Jaleca Patricia Eduarda C M R, Cabral Nadine O, Castilho Júlia S, Herrera Yasmín E G, Kulkarni Vedant A, Chagas Paula S C, Toledo Aline M, Grangeiro Patricia M, Ayupe Kennea M A
Аннотация
BACKGROUND: Accurate interpretation of hip radiographic imaging is critical for the early detection of hip displacement, the second most common impairment observed in children with cerebral palsy (CP). We aimed to evaluate the measurement properties of the HipScreen for assessing hip migration percentage (MP) in Brazilian children/adolescents with CP.
METHOD: MP was measured on pelvis radiographs of children and adolescents with CP by eight independent raters using the HipScreen app and traditional Reimer's measurement method. Concurrent validity (Spearman correlation), sensitivity, specificity, and accuracy were established by the correlation between the MP values obtained from the HipScreen and the traditional Reimers method. Intra and inter-rater reliability were evaluated using the intraclass correlation coefficient (ICC). All raters assessed the clinical utility of the HipScreen app with a standardized questionnaire.
RESULTS: Sixty-eight children (136 hips) were included, with a mean age of 8.09 years and 67.5% were classified in the Gross Motor Function Classification System IV or V levels. Notably, 49.3% of hips had an MP > 30%. Intra and inter-rater reliability were excellent (0.89 < ICC < 0.95). The HipScreen app presented strong to very strong correlations (0.82 < r < 0.91) with the traditional Reimers method with 80% sensitivity, 75% specificity, and 77% accuracy. All examiners considered the Hipscreen app easy and very useful for clinical practice.
CONCLUSION: The HipScreen provides reliable and valid measurements of MP in Brazilian children with CP, facilitating the implementation of hip surveillance programs in the Brazilian context.
METHOD: MP was measured on pelvis radiographs of children and adolescents with CP by eight independent raters using the HipScreen app and traditional Reimer's measurement method. Concurrent validity (Spearman correlation), sensitivity, specificity, and accuracy were established by the correlation between the MP values obtained from the HipScreen and the traditional Reimers method. Intra and inter-rater reliability were evaluated using the intraclass correlation coefficient (ICC). All raters assessed the clinical utility of the HipScreen app with a standardized questionnaire.
RESULTS: Sixty-eight children (136 hips) were included, with a mean age of 8.09 years and 67.5% were classified in the Gross Motor Function Classification System IV or V levels. Notably, 49.3% of hips had an MP > 30%. Intra and inter-rater reliability were excellent (0.89 < ICC < 0.95). The HipScreen app presented strong to very strong correlations (0.82 < r < 0.91) with the traditional Reimers method with 80% sensitivity, 75% specificity, and 77% accuracy. All examiners considered the Hipscreen app easy and very useful for clinical practice.
CONCLUSION: The HipScreen provides reliable and valid measurements of MP in Brazilian children with CP, facilitating the implementation of hip surveillance programs in the Brazilian context.